Effect of tyrosine kinase inhibitors on stemness in normal and chronic myeloid leukemia cells

Autor: Aurélie Bedel, François Moreau-Gaudry, Mahon Fx, Isabelle Moranvillier, François Béliveau, H. de Verneuil, Sandrine Dabernat, Isabelle Lamrissi-Garcia, L Charaf, Bruno Cardinaud
Rok vydání: 2016
Předmět:
Zdroj: Leukemia. 31:65-74
ISSN: 1476-5551
0887-6924
Popis: Although tyrosine kinase inhibitors (TKIs) efficiently cure chronic myeloid leukemia (CML), they can fail to eradicate CML stem cells (CML-SCs). The mechanisms responsible for CML-SC survival need to be understood for designing therapies. Several previous studies suggest that TKIs could modulate CML-SC quiescence. Unfortunately, CML-SCs are insufficiently available. Induced pluripotent stem cells (iPSCs) offer a promising alternative. In this work, we used iPSCs derived from CML patients (Ph+). Ph+ iPSC clones expressed lower levels of stemness markers than normal iPSCs. BCR-ABL1 was found to be involved in stemness regulation and ERK1/2 to have a key role in the signaling pathway. TKIs unexpectedly promoted stemness marker expression in Ph+ iPSC clones. Imatinib also retained quiescence and induced stemness gene expression in CML-SCs. Our results suggest that TKIs might have a role in residual disease and confirm the need for a targeted therapy different from TKIs that could overcome the stemness-promoting effect caused by TKIs. Interestingly, a similar pro-stemness effect was observed in normal iPSCs and hematopoietic SCs. These findings could help to explain CML resistance mechanisms and the teratogenic side-effects of TKIs in embryonic cells.
Databáze: OpenAIRE